CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: St Lukes Hospital of Kansas City

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76705
  • Insurance Median: $374
  • Cash Discount Price: $661
  • vs. Medicare Baseline: 3.50x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at St Lukes Hospital of Kansas City is $374. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $661. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 3.50x the Medicare baseline. Located in 4401 Wornall Road, Kansas City, MO.
Cash / Self-Pay
$661

Average discount available for prompt cash payment at this facility.

Insurance Median
$374

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$106.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $106.81 (100%)
Cash / Self-Pay: $661 (619%)
Insurance Median: $374 (350%)
Cash: $661 (619% of Medicare)
Ins. Median: $374 (350% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $106.81 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 350% of the Medicare baseline (a markup of 250%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Medicaid / KanCare $60 - $131 56%
Aetna $62 - $1,046 58%
Humana $62 - $102 58%
Transplants-Case Rates [5750] $86 - $1,101 81%
UnitedHealthcare $90 - $553 84%
Blue Cross Blue Shield $105 - $830 98%
Cigna $118 - $771 110%
Commercial-Contracted [8000] $246 - $881 230%
First Health [5512] $653 611%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4401 Wornall Road, Kansas City, MO 64111
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals